Tia Cornwall is a Shallotte, North Carolina based psychologist who is specialized in General Psychology. Active license number of Tia Cornwall is 6811 for General Psychology in North Carolina. Her current practice location is 4902 Main St Ste D, Shallotte. Patients can reach her at 910-754-2289. Tia Cornwall is ED.S., LPA in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1710488408.
Tia Cornwall is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Tia Cornwall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tia Cornwall |
| Specialization: | General Psychology |
| Gender: | Female |
| Credentials: | ED.S., LPA |
| Practice Address: | 4902 Main St Ste D, Shallotte,
North Carolina, 28470-4749 |
| Phone: | 910-754-2289 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1710488408 |
| NPI Enumeration Date: | 27 Feb, 2018 |
| NPI Last Update On: | 10 Aug, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tia Cornwall are as mentioned below.
| License Number | Specialization | State | Status | |
| 6811 | General Psychology | North Carolina | Primary | |
| 1244890 | School Psychology | North Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tia Cornwall
Po Box 1023,
Shallotte, North Carolina |
| Zip: | 28459-1023 |
| Phone Number: | 540-314-0606 |
Patients can reach Tia Cornwall at
4902 Main St Ste D, Shallotte, North Carolina or can
call to book an appointment on 910-754-2289.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.